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Votes at a glance: SFHSS actions on minutes, officers, budgets and 2026 rates (June 12, 2025)
Summary
The Health Service Board approved meeting minutes, elected officers, adopted a resolution into the record, approved multiple budget and rate actions (including Blue Shield MAPD, Kaiser California, Kaiser multi-region) and approved the FY26-27 healthcare sustainability fund budget.
This summary lists formal motions and roll-call outcomes taken by the San Francisco Health Service Board on June 12, 2025. It includes motions the board approved and those that failed.
Approved by roll call - Approval of May 8, 2025 meeting minutes (Agenda item 4): unanimous roll call recorded as all ayes. - Adoption of resolution for Claire Zavansky into the record (Agenda item 5): unanimous ayes. - Election of Health Service Board officers for FY2025'FY2026 (Agenda item 6): unanimous ayes; President and Vice President elected as recorded in the minutes. - Revised SFHSS Healthcare Sustainability Fund budget, FY2026'FY2027 (Agenda item 11): approved by roll call (6-0-0); staff moved some expenses into the trust and preserved a multi-year solvency projection. - Blue Shield of California MAPD (Medicare Advantage Prescription Drug PPO) retiree rate card for plan year 2026 (Agenda item 14): approved by roll call (6-0-0); Blue Shield presented a 4.5% insured premium increase under the three-year RFP commitment. - Kaiser Permanente California HMO 2026 rates and contributions (Agenda item 15): approved by roll call (6-0-0); staff recommended and the board accepted a 9.88% increase for active/non-Medicare retirees and 9.33% for Medicare retirees. - Kaiser Permanente multi-region (Washington, Oregon, Hawaii) retiree HMO 2026 rate cards (Agenda item 17): approved by roll call (6-0-0) after the board declined a prior motion to discontinue those plans. - Cancellation of the July 2025 Health Service Board regular meeting (Agenda item 19): approved by roll call (6-0-0).
Failed motions - Recommendation to discontinue Kaiser multi-region retiree HMOs after 12/31/2025 (Agenda item 16): motion failed on roll call (2 yes, 4 no). Because the discontinuation motion failed, the board then approved the multi-region rate cards for 2026.
Notes on procedure and next steps - Where the board approved insurer rate cards (Blue Shield MAPD, Kaiser California, Kaiser multi-region), staff said those actions will be submitted to the Board of Supervisors as part of the rates-and-benefits budget package the week of June 24 for committee scheduling and possible first reading in July. SFHSS staff and the actuary presented supporting exhibits and rate cards during the meeting. - Several approved items (rate approvals and the sustainability fund budget) require follow-up communications and plan documents for open enrollment and member notification.
If you need full roll-call detail for any single agenda item (member-by-member votes), those votes were recorded in the meeting transcript and minutes and are available in the SFHSS meeting packet.
